Provider Demographics
NPI:1699919332
Name:MARCHINGTON, DONNA J (LCPC)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:J
Last Name:MARCHINGTON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 12TH AVE S STE 114
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-5099
Mailing Address - Country:US
Mailing Address - Phone:406-453-5592
Mailing Address - Fax:
Practice Address - Street 1:2300 12TH AVE S
Practice Address - Street 2:STE 114
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-5017
Practice Address - Country:US
Practice Address - Phone:406-453-5592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional